Individual
DR. RUSSELL WARREN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
422 GARRISONVILLE RD, STE 111, STAFFORD, VA 22554-1573
(540) 657-9441
(540) 657-4366
Mailing address
PO BOX 249, GARRISONVILLE, VA 22463-0249
(540) 657-9441
(540) 657-4366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101030314
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010042941
—
VA
Enumeration date
06/27/2005
Last updated
09/12/2011
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